Individual
MISTY SHAWN EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5354 REYNOLDS ST, STE 424, SAVANNAH, GA 31405-6011
(912) 819-5999
(912) 819-5980
Mailing address
5354 REYNOLDS ST, STE 424, SAVANNAH, GA 31405-6011
(602) 445-0751
(602) 424-8128
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
33040
AZ
207R00000X
Internal Medicine Physician
Primary
89040
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
479213
—
AZ
Enumeration date
08/26/2005
Last updated
10/03/2023
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